Evidence map›Paper›PMID 30085035›Full record

ArticleThe Journal of clinical endocrinology and metabolism2018

Targeted Molecular Characterization of Aldosterone-Producing Adenomas in White Americans.

Kazutaka Nanba, Kei Omata, Tobias Else, Peter C C Beck, Aya T Nanba, Adina F Turcu, Barbra S Miller, Thomas J Giordano, Scott A Tomlins, William E Rainey

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 2 pooled it
13.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 2 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Aldosterone-Producing Lesions HarboringHypertension (Dallas, Tex. : 1979) · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. The relationship between tissue inhibitor of metalloproteinases-1 and KCNJ5 mutation in aldosterone-producing adenoma patients.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  20. SomaticHypertension (Dallas, Tex. : 1979) · 2024
    Article

36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Kazutaka NanbaDepartment of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, Michigan.
Kei OmataDepartment of Pathology, University of Michigan, Ann Arbor, Michigan.
Tobias ElseDivision of Metabolism, Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Peter C C BeckDepartment of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, Michigan.
Aya T NanbaDivision of Metabolism, Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Adina F TurcuDivision of Metabolism, Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Barbra S MillerDivision of Endocrine Surgery, Section of General Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan.
Thomas J GiordanoDepartment of Pathology, University of Michigan, Ann Arbor, Michigan.
Scott A TomlinsDepartment of Pathology, University of Michigan, Ann Arbor, Michigan.
William E RaineyDepartment of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · USMichigan Center for Translational Pathology · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
Adrenal Origins of Aldosterone ExcessR01DK106618 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI William E Rainey, Aaron Mark Udager · 2016 to 2026
$6.0M
The Genetics of Primary AldosteronismR01HL130106 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELSE, TOBIAS · 2016 to 2020
$1.9M
NCI NIH HHS P30 CA046592NHLBI NIH HHS R01 HL130106NIDDK NIH HHS R01 DK106618
6 · The paper itself

Abstract

Context: Somatic mutations have been identified in more than half of aldosterone-producing adenomas (APAs) through mutation hotspot sequencing. The underlying pathogenesis of inappropriate aldosterone synthesis in the remaining population is still unknown. Objective: To investigate the prevalence and spectrum of somatic mutations in APAs using an aldosterone synthase (CYP11B2) immunohistochemistry (IHC)‒guided next-generation sequencing (NGS) approach. Methods: Formalin-fixed paraffin-embedded adrenal tissue from white American patients with primary aldosteronism who underwent adrenalectomy at the University of Michigan was used. Genomic DNA was isolated from 75 APAs (identified by CYP11B2 IHC). NGS was performed to identify somatic mutations by sequencing the entire coding region of a panel of genes mutated in APAs. Results: Somatic mutations were identified in 66 of 75 APAs (88%). Of the APAs with somatic mutations, six were smaller than coexisting CYP11B2-negative adrenocortical adenomas. The most frequently mutated gene was KCNJ5 (43%), followed by CACNA1D (21%), ATP1A1 (17%), ATP2B3 (4%), and CTNNB1 (3%). In addition to identification of previously reported mutations, we identified five previously unreported mutations (two in KCNJ5, one in ATP1A1, one in ATP2B3, and one in CACNA1D genes). KCNJ5 mutations were more frequent in women (70% vs 24% in men). Conclusion: Comprehensive NGS of CYP11B2-expressing adrenal tumors identified somatic mutations in aldosterone-driving genes in 88% of APAs, a higher rate than in previous studies using conventional approaches.

Indexed as

MutationAdrenal Cortex NeoplasmsAdrenalectomyAdrenocortical AdenomaAdultAldosteroneCalcium Channels, L-TypeCytochrome P-450 CYP11B2FemaleG Protein-Coupled Inwardly-Rectifying Potassium ChannelsHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedPlasma Membrane Calcium-Transporting ATPasesSodium-Potassium-Exchanging ATPaseAldosteroneATP1A1 protein, humanATP2B3 protein, humanCACNA1D protein, humanCalcium Channels, L-TypeCytochrome P-450 CYP11B2G Protein-Coupled Inwardly-Rectifying Potassium ChannelsKCNJ5 protein, humanPlasma Membrane Calcium-Transporting ATPasesSodium-Potassium-Exchanging ATPase

Identifiers

PMID30085035
PMCPMC6179168
OpenAlexW2887100951

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.